There are numerous social and structural vectors for disease that are not often discussed in medical school. So, Dr. David Ansell says he had a lot to learn once he became a physician.

Ansell, author of “The Death Gap: How Inequality Kills,” writes about the stark disparities in access to treatment and outcomes for patients in the U.S. healthcare system.

“We always talk about inequities. We have frank inequities, but we have gross inequalities,” Ansell says. “The care isn't equal… And if we could get to equal, then we can take on the inequity.”

One of the most glaring examples is life expectancy; a person’s zip code can be a strong predictor for their life expectancy due to social and structural determinants of health, including structural racism and economic deprivation, he says. 

“If you live in The Loop in Chicago, you can live to be 85 and if it were a country, it'd be ranked first in the world,” Ansell says. “But if you live in Garfield Park, three stops down the Blue Line from Rush, life expectancy post-Covid is 66.”

In this conversation, which was first published in 2023 for the Health Disparities podcast, Dr. Ansell speaks with Movement Is Life’s Dr. Carla Harwell about the importance of addressing systemic racism and inequality in the healthcare system.

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